Unique Identification Authority of India Government of India Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND SERVICES) ACT, 2016 (Aadhaar Act) AADHAAR ENROLMENT/ CORRECTION/ UPDATE FORM Aadhaar Enrolment and Mandatory Biometric Update is free. No charges are applicable for Form. In case of Correction/ Update, provide your Aadhaar Number (UID), Full Name and only that field which needs Correction/ Update. Resident 1 2.1 Non-Resident Indian (NRI*) Please follow the instructions overleaf while filling up the form. Use capital letters only. Pre Enrolment ID (If applicable): Biometric Update (Photo + Fingerprint + Iris) 3 Full Name: 4 Gender: Male Female In case of Update provide Aadhaar Number (UID): 2 Mobile Transgender Date of Birth Age: 5 Yrs Address OR Name Gender Email Date of Birth: | DD | MM | YYYY | Declared Verified Address: C/o NAME 6 House No./ Bldg./ Apt: Street/ Road/ Lane: Landmark: Area/ Locality/ Sector: Village/ Town/ City: Post Office: District: Sub-District: State: E-Mail: Mobile No.: | | | | | | | | | | | PIN Code: | | | | | | | Details of: 7 Father Mother Guardian Husband Wife For children below 5 years Father/Mother/Guardian’s details are mandatory. Adults can opt not to specify this information. Name: EID/ Aadhaar No.: | | | | | | | | | | | | | | | dd | mm | yyyy | hh : mm : ss| Verification Type: Document Based Introducer Based Head of Family (HoF) Based Select only one of the above. Select Introducer or Head of Family only if you do not possess any documentary proof of identity and/ or address. Introducer and Head of Family details are not required in case of Document based verification. 8 For Document Based (Write Names of the documents produced. Refer overleaf of this form for list of valid documents) a. POI b. POA c. DOB d. POR (Mandatory in case of Verified Date of Birth) 9 For Introducer Based – Introducer’s Aadhaar No.: | | | | | | | | | | | | | (Mandatory in case of HoF based Enrolment/ Update) For HoF Based - Details of : Father Mother Guardian HoF’s EID/ Aadhaar No.: | | | | | | | | | | | | | | | dd | mm | yyyy | hh : mm : ss| Husband Wife I hereby confirm the identity and address of_________________________________________as being true, correct and accurate. Introducer/ HoF’s Name: Signature of Introducer/ HoF Disclosure under section 3(2) of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND SERVICES) ACT, 2016 I confirm that I have been residing in India for at least 182 days in the preceding 12 months / I am Non Resident Indian (NRI) & information (including biometrics) provided by me to the UIDAI is my own and is true, correct and accurate. I am aware that my information including biometrics will be used for generation of Aadhaar and authentication. I understand that my identity information (except core biometric) may be provided to an agency only with my consent during authentication or as per the provisions of the Aadhaar Act. I have a right to access my identity information (except core biometrics) following the procedure laid down by UIDAI. Verifier’s Stamp and Signature: (Verifier must put his/ her Name, if stamp is not available) To be filled by the Enrolment Agency only: Applicant’s signature/ Thumbprint Date & time of Enrolment: _________________________________ Note: In case of minor, the signature will be done by parent/guardian. In case of incapacitated person, the signature will be done by Legal Guardian of Incapacitated Person * In case of NRI, only Indian Passport will be valid as POI. INSTRUCTIONS TO FOLLOW WHILE FILLING UP THE ENROLMENT FORM Field 3: NAME Write full name without salutations/titles. Please bring the original* Proof of Identity (POI) document. (See list A below). Variation in Resident’s Name in contrast to POI is permissible as long as the change is minor spelling only, without altering the Name in POI document. For Example: If Resident’s POI reads “Preeti”, then “Priti” can be recorded if Resident wants so. Field 5: DOB / AGE Fill in Date of Birth in DDMMYYYY format. If exact Date of Birth is not known, approximate age in Years may be filled in the space provided. Please bring the original Proof of Date of Birth (DOB), if available. (See list D below). Declared checkbox may be selected if Resident does not have a valid proof of Date of Birth document. Verified checkbox is selected where Resident has provided documents as proof of Date of birth. Field 6: ADDRESS Write complete address. Please bring the original Proof of Address (POA) document. (See list B below). Please note that the Aadhaar letter will be delivered at the given address only. • To include name of Parent / Guardian / Spouse as part of the address, enter the name of person in the c/o field. • Minor Corrections / Enhancements are permissible to make the address complete without altering the base address as mentioned in POA document. Field 7: RELATIONSHIP In case of children below 5 years, it is mandatory to provide father/mother/guardian details with their Aadhaar or EID number. If the resident is not holding a Proof of Identity & using the Head of the Family identity for enrolment, it is mandatory to provide Head of the family’s details with his/her Aadhaar or EID number. Please refer illustration below for filling EID. Please bring the original Proof of Relationship (POR) document. (See list C below). For other cases, it is optional for the resident to fill up the relationship details. Field 8: DOCUMENTS Write the name of Documents for POI and POA. In case proof of Date of Birth is available, then write the name of Date of Birth document. If the resident is not holding a Proof of Identity & using the Head of Family based enrolment, then write the name of Proof of Relationship document. For Valid list of documents, please refer list of Documents below. Field 9 INTRODUCER/HOF Resident who does not have POI and POA may get enrolled through an Introducer/ Head of Family. Pl contact nearest enrolment centre or your Registrar, for further details. LIST A. POI Documents POI (Proof of Identity) documents containing Name & Photo 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. Passport PAN Card Ration/ PDS Photo Card Voter ID Driving License Government Photo ID Cards/ Service photo identity card issued by PSU NREGS Job Card Photo ID issued by Recognized Educational Institution Arms License Photo Bank ATM Card Photo Credit Card Pensioner Photo Card Freedom Fighter Photo Card Kissan Photo Passbook CGHS/ ECHS Photo Card Address Card having Name and Photo issued by Department of Posts Certificate of Identity having photo issued by Gazetted Officer or Tehsildar on letterhead Disability ID Card/ handicapped medical certificate issued by the respective State/ UT Governments/ Administrations Bhamashah Card Certificate from Superintendent/ Warden/ Matron/ Head of Institution of recognized shelter homes for orphanages, homes etc on their official letterhead Certificate of ldentity having photo issued by MP or MLA or MLC or Municipal Councillor on letterhead Certificate of Identity having photo issued by Village Panchayat Head or Mukhiya (for rural areas) Gazette notification for name change Marriage certificate with photograph RSBY Card SSLC book having candidates photograph ST/ SC/ OBC certificate with photograph School Leaving Certificate (SLC)/ School Transfer Certificate (TC), containing name and photograph Extract of School Records issued by Head of School containing name and photograph Bank Pass Book having name and photograph Certificate of Identity containing name and photograph issued by Recognized Educational Institution signed by Head of Institute LIST B. POA Documents POA (Proof of Address) documents containing Name & Address 1. 2. 3. 4. 5. 6. Passport Bank Statement/ Passbook Post Office Account Statement/ Passbook Ration Card Voter ID Driving License 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. Government Photo ID cards/ service photo identity card issued by PSU Electricity Bill (not older than 3 months) Water Bill (not older than 3 months) Telephone Landline Bill (not older than 3 months) Property Tax Receipt (not older than 1 year) Credit Card Statement (not older than 3 months) Insurance Policy Signed Letter having Photo from Bank on letterhead Signed Letter having Photo issued by registered Company on letterhead Signed Letter having Photo issued by Recognized Educational Institution on letterhead or Photo ID having address issued by Recognized Educational Institution NREGS Job Card Arms License Pensioner Card Freedom Fighter Card Kissan Passbook CGHS/ ECHS Card Certificate of Address having photo issued by MP or MLA or MLC or Gazetted Officer or Tehsildar on letterhead Certificate of Address issued by Village Panchayat head or its equivalent authority (for rural areas) Income Tax Assessment Order Vehicle Registration Certificate Registered Sale/ Lease/ Rent Agreement Address Card having Photo issued by Department of Posts Caste and Domicile Certificate having Photo issued by State Govt Disability ID Card/ handicapped medical certificate issued by the respective State/ UT Governments/ Administrations Gas Connection Bill (not older than 3 months) Passport of Spouse Passport of Parents (in case of Minor) Allotment letter of accommodation issued by Central/ State Govt. (not more than 3 years old) Marriage Certificate issued by the Government, containing address Bhamashah card Certificate from Superintendent/ Warden/ Matron/ Head of Institution of recognized shelter homes for orphanages, homes etc. on letter head Certificate of address having photo issued by Municipal Councillor on letterhead Identity Card issued by recognized educational institutions SSLC book having photograph School Identity card School Leaving Certificate (SLC)/ School Transfer Certificate (TC), containing Name and Address Extract of School Records containing Name, Address and Photograph issued by Head of School Certificate of Identity containing Name, Address and Photograph issued by Recognized Educational Institution signed by Head of Institute LIST C. POR Documents POR (Proof of Relationship) documents containing Name of applicant and Name of HoF (Head of Family) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. PDS Card MNREGA Job Card CGHS/ State Government/ ECHS/ ESIC Medical card Pension Card Army Canteen Card Passport Birth Certificate issued by Registrar of Birth, Municipal Corporation and other notified local government bodies like Taluk, Tehsil etc. Any other Central/ State government issued family entitlement document Marriage Certificate issued by the government Address card having name and photo issued by Department of Posts Bhamashah card Discharge card/ slip issued by Government hospitals for birth of a child Certificate of ldentity having photo issued by MP or MLA or MLC or Municipal Councillor or Gazetted Officer on letterhead Certificate of ldentity having photo and relationship with HoF issued by village panchayat head or mukhiya (for rural areas) LIST D. DOB Documents DOB (Date of Birth) documents containing Name and DOB 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Birth Certificate SSLC Book/ Certificate Passport Certificate of Date of Birth issued by Group A Gazetted Officer on Letterhead A certificate or ID Card having photo and Date of Birth (DOB) duly signed and issued by a Government authority Photo ID card having Date of Birth, issued by Recognized Educational Institution PAN Card Marksheet issued by any Government Board or University Government Photo ID Card/ Photo Identity Card issued by PSU containing DOB Central/ State Pension Payment Order Central Government Health Service Scheme Photo Card or Ex-Servicemen Contributory Health Scheme Photo card School Leaving Certificate (SLC)/ School Transfer Certificate (TC), containing Name and Date of Birth Extract of School Records issued by Head of School containing Name, Date of Birth and Photograph Certificate of Identity containing Name, DOB and Photograph issued by Recognized Educational Institution signed by Head of Institute Illustration for filling up EID No. Acknowledgement/ Consent for enrolment / ´ffU°fe / ³ff¸ffÔIY³f WXZ°fb ÀfWX¸fd°f ........................................................................................................................................................................................................................................................................................................................................................................................ Enrolment No/ ³ff¸ffÔIY³f ÀfÔ£¹ff: or EID No: 0008/12345/00020 ***This is not the Aadhaar Number*** 0 0 0 8 1 2 3 4 5 0 0 0 2 0 Date/ d°fd±f: 28/04/2011 15:50:16 2 8 0 4 2 0 1 1 1 5 5 0 1 6 Note: In instances where original documents are not available, copies attested / certified by a public notary/gazetted officer will be accepted.